Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.52 / $71.31 / $118.38	Facility		$32.52	$71.31	$118.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $23.23 / $81.54	Professional		$19.91	$23.23	$81.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $54.84 / $68.54	Professional		$43.37	$54.84	$68.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $52.80 / $223.84	Professional		$30.17	$52.80	$223.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $42.98 / $134.65	Facility		$30.17	$42.98	$134.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $30.95 / $77.83	Professional		$18.10	$30.95	$77.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $56.75 / $94.58	Facility		$34.11	$56.75	$94.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $56.75 / $79.81	Professional		$36.20	$56.75	$79.81
United Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.10 / $67.47	Professional		$18.10	$18.10	$67.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $30.17 / $30.17	Professional		$23.83	$30.17	$30.17